DR. Edomias Desta, MD

NPI #1124549266 in Farmington, New Mexico

Provider Information

NPI Number: 1124549266
Entity Type: Individual
Name: DR. Edomias Desta, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 28, 2017
Last Updated: Jul 16, 2020

Practice Location

Address: 801 W MAPLE ST
City: Farmington
State: New Mexico
ZIP Code: 87401-5630
Phone: (505) 609-6463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Internal Medicine	207R00000X	Primary

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